FOCUS-PDCA结合风险预警干预对重症监护病房留置尿管患者的影响  

Effect of FOCUS-PDCA combined with risk early warning intervention on patientswith indwelling urinary catheter in intensive care unit

作　　者：邵英 郭兰 梁锋鸣 SHAO Ying;GUO Lan;LIANG Fengming(Department of Intensive Care Unit,The Affiliated Wuxi People′s Hospital of Nanjing Medical University,Wuxi,Jiangsu 214000,China)

机构地区：[1]南京医科大学附属无锡人民医院重症医学科,江苏无锡214000

出　　处：《现代医药卫生》2025年第3期680-684,共5页Journal of Modern Medicine & Health

基　　金：南京医科大学无锡医学中心专病队列和临床研究项目(WMCC202325)。

摘　　要：目的 探讨FOCUS-PDCA结合风险预警干预在重症监护病房(ICU)留置尿管患者中的应用效果。方法 选取2022年1月至2023年12月该院收治的ICU留置尿管患者88例作为研究对象,按入院时间顺序分为对照组(2022年1-12月)和观察组(2023年1-12月),每组44例。对照组采用常规护理干预,观察组采用FOCUS-PDCA结合风险预警干预。观察2组患者感染发生情况、尿道口清洁率、尿管固定正确率、尿管留置时间、住院时间、疼痛、治疗依从率等变化情况。结果 观察组患者感染发生率明显低于对照组,护理后尿道口清洁率、尿管固定正确率、治疗依从率均明显高于对照组,尿管留置、住院时间均明显短于对照组,视觉模拟疼痛量表评分明显低于对照组,差异均有统计学意义(P<0.05)。结论 在ICU留置导尿管患者临床治疗中选用FOCUS-PDCA结合风险预警干预不仅可有效控制发生感染的风险,促进康复速度,还可有效缓解患者疼痛感,促使其积极、主动配合治疗,进而获得明显的护理有效性。Objective To explore the application effect of FOCUS-PDCA combined with risk early warning intervention in patients with indwelling catheter in intensive care unit(ICU).Methods A total of 88 patients with ICU indwelling catheter admitted to our hospital from January 2022 to December 2023 were selected as the research objects.According to the order of admission time,they were divided into the control group(January to December 2022)and the observation group(January to December 2023),44 cases in each group.The control group was given routine nursing intervention,and the observation group was given FOCUS-PDCA combined with risk early warning intervention.The incidence of infection,cleaning rate of urethral orifice,correct rate of catheter fixation,indwelling time of catheter,hospitalization time,pain and treatment compliance rate were observed in the two groups.Results The incidence of infection in the observation group was significantly lower than that in the control group.After nursing,the cleaning rate of urethral orifice,the correct rate of urinary catheter fixation and the compliance rate of treatment were significantly higher than those in the control group.The indwelling time of urinary catheter and hospitalization time were significantly shorter than those in the control group.The visual analogue pain scale score was significantly lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of FOCUS-PDCA combined with risk early warning intervention in the clinical treatment of ICU patients with indwelling catheter can not only effectively control the risk of infection,promote the speed of rehabilitation,but also effectively relieve the pain of patients,promote their active and active cooperation in treatment,and then obtain obvious nursing effectiveness.

关 键 词：留置导尿管 重症监护病房 FOCUS-PDCA 风险预警干预 影响因素分析 

分 类 号：R473[医药卫生—护理学]